[Catheter-related infections: how to reduce the risk?]

Ann Fr Anesth Reanim. 2005 Mar;24(3):288-90. doi: 10.1016/j.annfar.2004.12.019. Epub 2005 Jan 21.
[Article in French]

Abstract

Subcutaneous tunnelling of short-term catheters and the choice of site of catheter insertion are the two factors which influence the risk of catheter-related infection. Catheters inserted into a femoral vein have been associated with a higher risk of infection than those inserted into a subclavian vein. However, a meta-analysis comparing the internal jugular and subclavian sites did not report any difference. Regarding tunnelling, two randomized studies showed a benefit in terms of infection rates for the jugular and femoral sites when the blood sampling was not performed via the catheters. For the subclavian site tunnelling does not seem to bring any advantage compared to conventional insertion.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Anesthesia
  • Catheterization / adverse effects*
  • Catheterization / instrumentation
  • Catheterization / methods
  • Cross Infection / epidemiology
  • Cross Infection / prevention & control*
  • Femoral Vein
  • Humans
  • Intensive Care Units*
  • Jugular Veins
  • Randomized Controlled Trials as Topic
  • Risk
  • Subclavian Vein